A 63-year-old presents 2 hours after sudden right-sided weakness and aphasia. CT head shows no hemorrhage. BP is 188/106 mm Hg, glucose 126 mg/dL, pla...

Question

A 63-year-old presents 2 hours after sudden right-sided weakness and aphasia. CT head shows no hemorrhage. BP is 188/106 mm Hg, glucose 126 mg/dL, platelets 230,000/µL, INR 1.0. What is the next best step?

Accepted Answer

Lower BP to

Answer

Give aspirin 325 mg orally immediately.

Answer

Start unfractionated heparin infusion immediately.

Answer

Delay thrombolysis until carotid duplex is obtained.

Answer

Withhold thrombolysis because the time window exceeds 3 hours.

us-abem MCQ (SBA): Acute Ischemic Stroke

A 63-year-old presents 2 hours after sudden right-sided weakness and aphasia. CT head shows no hemorrhage. BP is 188/106 mm Hg, glucose 126 mg/dL, platelets 230,000/µL, INR 1.0. What is the next best step?